Analysis on 8 qualified cases of civil pilots treated by intracranial aneurysm interventional embolism surgery and discussion on the standard of medical evaluation
10.3760/cma.j.cn113854-20210726-00106
- VernacularTitle:民航飞行员颅内动脉瘤介入栓塞术后复飞八例分析及航空医学鉴定标准探讨
- Author:
Qing WANG
1
;
Zesong GE
;
Kaiyong XU
;
Jiang WU
;
Xu LI
;
Chao ZHANG
;
Hao YAN
;
Hengzhou XU
Author Information
1. 中国民用航空局民航医学中心，北京 100123
- Publication Type:Journal Article
- Keywords:
Aneurysm;
Embolization;
Aerospace medicine;
Civil pilots
- From:
Chinese Journal of Aerospace Medicine
2022;33(1):35-41
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the aeromedical assessment standard and follow-up situation for the civil pilots treated by intracranial aneurysm interventional embolism surgery.Methods:The information about diagnosis and treatment, aeromedical identification and follow-up of 8 pilots treated by intracranial aneurysm interventional embolism surgery from June 2012 to November 2020 were collected and analyzed retrospectively, and relevant literatures were reviewed.Results:Eight unruptured aneurysms were detected accidentally in 7 patients during medical examination, and 1 ruptured aneurysm was detected due to subarachnoid hemorrhage. Seven pilots with unruptured aneurysms were waivered for flight after at least 1-year grounding for observation, with the restrictions of limited flying time and barred duty from being a captain (double restrictions). Then the restrictions were gradually cancelled after 1-year waiver and the follow-up was extended for 4-7 years. The pilot with ruptured aneurysms was waivered after 2-year grounded observation with double restrictions. He gave up the aeromedical assessment because of memory loss after returning flight for 1 year and the follow-up was terminated then.Conclusions:The aeromedical assessment for the pilot with intracranial aneurysm interventional embolism surgery should consider the objective and clinical characteristics, imaging findings, EEG, cognitive performance, flight ability, as well as the individual assessment upon pilot′s wishes. The pilots who resume flying should be followed up for an extended period.
